Cpt 60271

Herr14

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Hello,
I am uncertain whether CPT 60271 is for a total thyroidectomy, partial, or total unilateral?? It does not allow a mod.50 or LT/RT. However, a 59 modifier is allowed if billed with 60220-of course with proper documenation. That does not make sense to me. Any thoughts?
 

elenax

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Not my area of expertise but the Coding Expert version indicates that the 60271 is for subtotal or partail thyroidetomy.

hope this helps:)
 
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Mobile, Alabama
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Depending on the approach ( and without an operative note, I can give no certain advise) but, you could either use 60240 or 60271 depending on if cervical approach.
 

Nigist

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On CPT Book page 335, when you looks up under on code 60240,there is a note says (for thyroidectomy ,subtotal or partial, use 60271). hope you know it is not for total.
 

elsaee87

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If you use 3M HDM, and enter Lobectomy>Thyroid>Substernal, Partial>Cervical it takes you to 60271. It also does the same thing if you enter Thyroidectomy. So it seems it can be used for both? You can't put a RT or LT or 50 on it - so that means they don't want you to indicate that either. It is listed under 60270 TOTAL but its a total where there's only remnant tissue (on both sides). So now I think you can use it for unilateral/lobectomy or Total - both sides.

As of 2019 CPT, they still list the blurb "For thyroidectomy, subtotal or partial, use 60271" under 60240 so I guess we can go with that as well. If you add modifier 52 to 60271, the RVU's are lower than 60220 lobectomy so I wouldn't do that either.
 
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